HealthHacks 2018 Registration Form
November 3-4, 2018
VCU College of Engineering East Atrium
Contact HealthHacks@vcu.edu for questions!
Vist HealthHacks.vcu.edu for more information
Email address *
Name *
Your answer
Gender *
T-shirt Size *
Meal Restrictions (due to catering standards, we cannot guarantee Kosher/Halal meals) *
Required
Major / Field of Study *
Your answer
School / University Affiliation *
Photo and Video Release: By registering for this event, I hereby consent to and authorize the use and reproduction, in print or electronic format, by VCU College of Engineering or its authorized agents, of any and all photographs or video which may be taken of me at this event, for any publicity purpose, without compensation. I acknowledge and agree that all images, whether electronic, negatives and positives or otherwise, together with the prints, are owned by Virginia Commonwealth University. I hereby acknowledge that I have read and understood the terms of this authorization and release. *
Do you agree to abide by the MLH code of conduct? (TL;DR don't harass people!) https://static.mlh.io/docs/mlh-code-of-conduct.pdf *
Required
We participate in Major League Hacking (MLH) as a MLH Member Event. By participating, you authorize us to share certain application/registration information for event administration, ranking, MLH administration, pre and post-event informational e-mails, and occasional messages about hackathons in line with the MLH Privacy Policy. *
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Virginia Commonwealth University. Report Abuse - Terms of Service - Additional Terms